Tag Archive for 'Dental'

Coverage for TMJ gets lost between health and dental insurance

There are millions of people who grind and clench their teeth, especially while they’re asleep. Severe pain and problems of the temporomandibular joint, or TMJ, often are the result of these harmful habits. This temporomandibular joint joins the jaw to the skull, which might explain the pain that often occurs in the facial area, such as the temples, resulting in very painful headaches, not to mention the other problems that are associated with TMJ.

Apparently, these bad habits develop more often during stressful times. Teeth can wear down and crack from consistently clenching the jaw and ultimately lead to inflammation, arthritis and degenerative changes in the jaw joint. About 10 percent of people who grind or clench their teeth (called bruxism) endure problems related to TMJ.

Unfortunately, treatments for TMJ are often not covered by insurance because there are a lot of medical insurers who think it is a dental problem, and a lot of dental insurers who think it is a medical problem. The reality is that some policies actually rule out coverage for TMJ disorders. On the other hand, physical therapy for TMJ-related conditions are usually covered.

BCBSNC announces new voluntary dental products

Blue Cross and Blue Shield of North Carolina announced a new dental insurance product that allows employers to provide dental coverage to their workers at no required cost to the employer.

Dental Blue Select features 100 percent coverage of preventive services, a lifetime deductible of just $100, competitively priced premiums and the choice of seeing any licensed dentist. As a “voluntary” dental product, Dental Blue Select may be funded entirely by employees or through a cost-sharing arrangement between employers and employees. Employees pay for their coverage through payroll deduction.

“Dental Blue Select makes it easy for employers to help their workers and their families achieve and maintain optimal dental health,” said Dr. Genie Komives, senior medical director of BCBSNC. “Medical research has established links between good dental health and good overall health. This product fits perfectly with our mission to help our members improve their health.”

Without dental insurance, people often neglect preventive dental care and may postpone seeing a dentist when problems occur. Research has indicated a possible link between periodontal disease – infection of the gums and bones that support teeth – and health conditions such as cardiovascular disease and hypertension.

More employers are recognizing the role dental health plays in general health. Employers are seeking to add dental benefits more often than any other new voluntary benefits option, according to a 2007 study from LIMRA International, a research and consulting organization for insurance and financial services companies.

BCBSNC is expanding its efforts in dental health. For example, under a separate initiative from Dental Blue Select, the company is collaborating with North Carolina dentists to develop the company’s most comprehensive dental network to use in future product offerings for BCBSNC members. The company also offers Dental Blue and Dental Blue for Individuals group and individual coverage, respectively.

Dental Blue Select offers employers a choice of two plan options – Standard and Enhanced. The Standard plan is ideal for customers seeking basic dental coverage at competitive rates. With Enhanced, members receive additional benefits, such as root canals and periodontics covered at 80 percent with no waiting period. Orthodontics also is available as an option with the Enhanced plan.

To qualify for Dental Blue Select, employers must have participation from at least 20 percent of their workforce and a minimum of 10 enrollees for the Standard plan and five for the Enhanced plan.

For additional details, visit http://www.bcbsnc.com/plans/smallgrp/voluntarydental/.

Dental Blue Select is being offered now to employers with an effective date of July 1, 2007.